Management of pulse oximeter probe–induced finger injuries in children: report of two consecutive cases and review of the literature

Ceran, Candemir; Taner, Ömer Faruk; Teki̇n, Fati̇h; Tezcan, Soner; Tekin, O. F.; Civelek, Birol

doi:10.1016/j.jpedsurg.2012.06.033

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…52 An example of a failure in quality development was when manufacturers of pulse oximeters used different wire configurations resulting in several burns at the site of the red light-emitting diode. 69 …”

Section: Qualitymentioning

confidence: 99%

Biomedical device innovation methodology: applications in biophotonics

et al. 2017

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Abstract. The process of medical device innovation involves an iterative method that focuses on designing innovative, device-oriented solutions that address unmet clinical needs. This process has been applied to the field of biophotonics with many notable successes. Device innovation begins with identifying an unmet clinical need and evaluating this need through a variety of lenses, including currently existing solutions for the need, stakeholders who are interested in the need, and the market that will support an innovative solution. Only once the clinical need is understood in detail can the invention process begin. The ideation phase often involves multiple levels of brainstorming and prototyping with the aim of addressing technical and clinical questions early and in a cost-efficient manner. Once potential solutions are found, they are tested against a number of known translational factors, including intellectual property, regulatory, and reimbursement landscapes. Only when the solution matches the clinical need, the next phase of building a "to market" strategy should begin. Most aspects of the innovation process can be conducted relatively quickly and without significant capital expense. This white paper focuses on key points of the medical device innovation method and how the field of biophotonics has been applied within this framework to generate clinical and commercial success.

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Section: Qualitymentioning

confidence: 99%

Biomedical device innovation methodology: applications in biophotonics

et al. 2017

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“…Unfortunately, both of these two regions are not ideal sensor locations for continuous monitoring. The former is occupied in most daily activities and the latter usually requires a clip which may cause discomfort during long time measurements [ 6 ]. While a reflective PPG sensor uses the back-scattered or reflected light to measure, it can be chosen to overcome those limitations.…”

Section: Introductionmentioning

confidence: 99%

Reflective oxygen saturation monitoring at hypothenar and its validation by human hypoxia experiment

Guo

Cao²,

Zhang³

et al. 2015

BioMed Eng OnLine

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BackgroundPulse oxygen saturation (SpO2) is an important parameter for healthcare, and wearable sensors and systems for SpO2 monitoring have become increasingly popular. The aim of this paper is to develop a novel SpO2 monitoring system, which detects photoplethysmographic (PPG) signals at hypothenar with a reflection-mode sensor embedded into a glove.MethodsA special photo-detector section was designed with two photodiodes arranged symmetrically to the red and infrared light-emitting diodes (LED) to enhance the signal quality. The reflective sensor was placed in a soft silicon substrate sewn in a glove to fit the surface of the hypothenar. To lower the power consumption, the LED driving current was reduced and energy-efficient electronic components were applied. The performance for PPG signal detection and SpO2 monitoring was evaluated by human hypoxia experiments. Accelerometer-based adaptive noise cancellation (ANC) methods applying the least mean squares (LMS) and recursive least squares (RLS) algorithms were studied to suppress motion artifact.ResultsA total of 20 subjects participated in the hypoxia experiment. The degree of comfort for wearing this system was accepted by them. The PPG signals were detected effectively at SpO2 levels from about 100–70%. The experiment validated the accuracy of the system was 2.34%, compared to the invasive measurements. Both the LMS and RLS algorithms improved the performance during motion. The total current consumed by the system was only 8 mA.ConclusionsIt is feasible to detect PPG signal and monitor SpO2 at the location of hypothenar. This novel system can achieve reliable SpO2 measurements at different SpO2 levels and on different individuals. The system is light-weighted, easy to wear and power-saving. It has the potential to be a solution for wearable monitoring, although more work should be conducted to improve the motion-resistant performance significantly.

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“…Ademais, os fatores anatômicos e fisiológicos característicos das crianças as tornam mais vulneráveis à passagem de corrente elétrica e calor, que podem ser causados por sensores de oxímetro de pulso. Pele mais fina, menor teor de gordura e maior teor de água geralmente leva a profundos e extensos danos teciduais na população pediátrica(CERAN, TANER et al, 2012). O princípio de funcionamento do oxímetro baseia-se na diferença entre a hemoglobina não oxigenada (Hb) e a hemoglobina oxigenada (HbO2) já que apresentam diferentes espectros de absorção de luz (ROCHA, 2016).Desenvolvido pela primeira vez, em 1972 no Japão, pelos bioengenheiros Takuo Aoyagi e MichioKishi.…”

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“…Logo, os fatores que levam a lesão ou agravamento de uma já existente, assim como vermelhidão, bolhas, extensão e profundidade das lesões devem ser observadas, anotadas e notificadas. Os principais objetivos são manter a circulação, promovendo um ambiente de cicatrização, prevenindo infecções e preservando a função da área afetada(CERAN, TANER et al, 2012).Ao detectar uma lesão, é fundamental classificá-la e descrevê-la de forma precisa. Por essa razão, o profissional deve estar atento a todo e qualquer tipo de lesão, por menor que seja, atentando-se também para a realização dos registros, que são de suma importância para o acompanhamento do RNPT(OLIVEIRA SM et al, 2014).Por fim, as alterações fisiológicas e os fatores externos são também fatores de risco para comprometimento da integridade da pele do RNPT, pois a adaptação ao meio extrauterino é necessária à sobrevivência(FEITOSA et al, 2018).CONHECENDO A OXIMETRIAA oximetria de pulso fornece informações de interesse clínico sobre a saturação de oxigênio carreado por hemoglobinas presentes no sangue arterial, o que possibilita a análise da amplitude e a frequência do pulso tanto na fase de repouso como na fase de atividade.…”

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E-book Perspectivas científicas em saúde da mulher e no contexto-materno infantil

Queiroz¹,

Andrade²

2021

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Direitos para esta edição cedidos pelos autores à Amplamente Cursos e Formação Continuada.Todo o conteúdo deste livro está licenciado sob uma Licença de atribuição Creative Commons. Atribuição-NãoComercial-SemDerivações 4.0 Internacional (CC-BY-NC-ND).Este e-book contém textos escritos por autores de diversos lugares do Brasil e, possivelmente, de fora do país. Todo o conteúdo escrito nos capítulos, assim como correção e confiabilidade são de inteira responsabilidade dos autores, inclusive podem não representar a posição oficial da Editora Amplamente Cursos.A Editora Amplamente Cursos é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação. Todos os artigos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.É permitido o download desta obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.Situações de má conduta ética e acadêmica ou quaisquer outros problemas que possam vir a surgir serão encaminhados ao Conselho Editorial para avaliação sob o rigor científico e ético.

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Management of pulse oximeter probe–induced finger injuries in children: report of two consecutive cases and review of the literature

Cited by 12 publications

References 9 publications

Biomedical device innovation methodology: applications in biophotonics

Biomedical device innovation methodology: applications in biophotonics

Reflective oxygen saturation monitoring at hypothenar and its validation by human hypoxia experiment

E-book Perspectivas científicas em saúde da mulher e no contexto-materno infantil

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